An axiomatization of the theory is presented based on an explication of the 1957 text. Twenty-five theorems are deduced from the seven postulates. An abstract test space for the theory is formulated and the operations for its practical testing discussed. Traditional experimentation with the theory seems generally concerned with few of its propositions and incapable of testing it.

One style of conducting scientific research involves the application of theoretical propositions to an empirical domain under investigation. The investigator plans his research in terms of the theoretical propositions and states his findings in these terms as well. We wish to examine not the merits of this style of research but a difficulty inherent in it. The difficulty concerns what is to be done when disconfirmative results are produced by some discrete study or experiment in the course of such research.

This paper aims to explore and expand on Wittgenstein’s remarks on the nature of mental imagery. Despite some rather cryptic passages and obvious objections, his notion of mental imagery as possessing a constitutive (and not merely added) element of expressive thought and conceptuality offers critical insights linking perceptual capacities with our shared practices. In particular I seek to further develop Wittgenstein’s claim that perceptual impressions presuppose a “mastery of a technique.” I argue that this sense of technique, understood as acquired (...) conceptual capacities, can explain and capture the rich and varied spectrum of expressive visual content that can be accessed by human beings initiated and embedded in a variety of shared practices. Using Gilbert Ryle’s account of dispositions, I cash out the notion of acquired conceptual capacities as spanning a wide latitude of responsive dispositions from mere “blind” visual habits to more normatively-guided, intelligent, and deliberately-trained visual “skills.” Visual impressions construed as such are hardly perceptually (nor representationally) univocal and instead exhibit a dynamic and reflexive plurivocity manifested through one’s initiation into shared practices and forms of life. This plurivocity makes possible a rich array of visual affordances that would otherwise not be accessible outside the context of a shared practice. This suggests that human beings possess a distinctive kind of expressive and responsive intelligence which picks out visual affordances determined not so much by a merely receptive perceptual faculty but by the subject’s skillful, active, and responsive engagement with the world. (shrink)

Subjects enrolled in studies testing high risk interventions for incurable or progressive brain diseases may be vulnerable to deficiencies in informed consent, such as the therapeutic misconception. However, the definition and measurement of the therapeutic misconception is a subject of continuing debate. Our qualitative pilot study of persons enrolled in a phase I trial of gene transfer for Parkinson disease suggests potential avenues for both measuring and preventing the therapeutic misconception. Building on earlier literature on the topic, we developed and (...) tested an interview guide that focuses on how the subjects decided to participate, emphasizing the integration of subjects’ various statements that are relevant to assessing the therapeutic misconception, rather than evaluating them as isolated statements. The results indicate that a subject’s understanding of the purpose of research is best explored in juxtaposition to the subject’s motivation for participating. (shrink)

Immanuel Kant's Groundwork of the Metaphysics of Morals of 1785 is one of the most profound and important works in the history of practical philosophy. In this introduction to the Groundwork, Sally Sedgwick provides a guide to Kant's text that follows the course of his discussion virtually paragraph by paragraph. Her aim is to convey Kant's ideas and arguments as clearly and simply as possible, without getting lost in scholarly controversies. Her introductory chapter offers a useful overview of Kant's general (...) approach to practical philosophy, and she also explores and clarifies some of the main assumptions which Kant relies on in his Groundwork but defends in his Critique of Pure Reason. The book will be a valuable guide for all who are interested in Kant's practical philosophy. (shrink)

Do Morals Matter? is an accessible and informed guide to contemporary ethical issues that reflects upon the intersection of religion and morality. An informal yet informed guide through the key ethical issues we are facing today, from moral decision making in business and medicine, to the uncertainty of war and terrorism, and the condition of our environment. Reflects on religion’s intersection with morality, exploring the challenge of pluralism in major world religions, and the question of Humanism and God’s role in (...) ethics. Considers the forecast of future situations that will be affected by today’s ethical decisions. Questions what accounts for the variances in ethical beliefs in different cultures, and how we properly reassess our conceptions of ethical standards as new issues arise. Written by the internationally regarded Ian Markham, Dean of Hartford Seminary and author of numerous books on world religions and ethics. (shrink)

This book is a succinct guide to Søren Kierkegaard’s contribution to educational thought. Kierkegaard is not usually known as an educational thinker, but the book shows how his key notions and ideas are nevertheless highly relevant to educational theory and practice. It places them within the context of Kierkegaard’s philosophy and the philosophy of his time, while also exploring their significance to issues of contemporary concern, like the question of how far education should aim at fostering useful skills or support (...) more ambitious goals. The central topics are Kierkegaard’s diagnosis of the limitations of objective knowledge and his corresponding emphasis on know-how, personal appropriation and subjective attitude; his analysis of more or less successful forms of self-realization; his ideas about fostering personal development through “indirect communication” and dialogue; and the elements, strengths and shortcomings of the ideal of self-cultivation. (shrink)

Computability theory originated with the seminal work of Gödel, Church, Turing, Kleene and Post in the 1930s. This theory includes a wide spectrum of topics, such as the theory of reducibilities and their degree structures, computably enumerable sets and their automorphisms, and subrecursive hierarchy classifications. Recent work in computability theory has focused on Turing definability and promises to have far-reaching mathematical, scientific, and philosophical consequences. Written by a leading researcher, Computability Theory provides a concise, comprehensive, and authoritative introduction to contemporary (...) computability theory, techniques, and results. The basic concepts and techniques of computability theory are placed in their historical, philosophical and logical context. This presentation is characterized by an unusual breadth of coverage and the inclusion of advanced topics not to be found elsewhere in the literature at this level. The book includes both the standard material for a first course in computability and more advanced looks at degree structures, forcing, priority methods, and determinacy. The final chapter explores a variety of computability applications to mathematics and science. Computability Theory is an invaluable text, reference, and guide to the direction of current research in the field. Nowhere else will you find the techniques and results of this beautiful and basic subject brought alive in such an approachable and lively way. (shrink)

“Probably Peirce’s best-known works are the first two articles in a series of six that originally were collectively entitled Illustrations of the Logic of Science and published in Popular Science Monthly from November 1877 through August 1878. The first is entitled ‘The Fixation of Belief’ and the second is entitled ‘How to Make Our Ideas Clear.’ In the first of these papers Peirce defended, in a manner consistent with not accepting naive realism, the superiority of the scientific method over other (...) methods of overcoming doubt and ‘fixing belief.’” — Robert Burch, “Charles Sanders Peirce,” entry in the Stanford Encyclopedia of Philosophy (2021 revision) -/- “Pragmatist epistemologies often explore how we can carry out inquiries in a self-controlled and fruitful way. (Where much analytic epistemology centres around the concept of knowledge, considered as an idealised end-point of human thought, pragmatist epistemology centres around the concept of inquiry, considered as the process of knowledge-seeking and how we can improve it.) So pragmatists often provide rich accounts of the capacities or virtues that we must possess in order to inquire well, and the rules or guiding principles that we should adopt. A canonical account is Peirce’s classic early paper ‘The Fixation of Belief‘. Here Peirce states that inquiry is a struggle to replace doubt with “settled belief“, and that the only method of inquiry that can make sense of the fact that at least some of us are disturbed by inconsistent beliefs, and will subsequently reflect upon which methods of fixing belief are correct is the Method of Science, which draws on the Pragmatic Maxim described above. This contrasts with three other methods of fixing belief: i) refusing to consider evidence contrary to one’s favored beliefs (the Method of Tenacity), ii) accepting an institution’s dictates (the Method of Authority), iii) developing the most rationally coherent or elegant-seeming belief-set (the A Priori Method).“ — Catherine Legg, “Pragmatism,” entry in the Stanford Encyclopedia of Philosophy (2021 revision). (shrink)

Socrates wrote nothing; Plato's accounts of Socrates helped to establish western politics, ethics, and metaphysics. Both have played crucial and dramatically changing roles in western culture. In the last two centuries, the triumph of democracy has led many to side with the Athenians against a Socrates whom they were right to kill. Meanwhile the Cold War gave us polar images of Plato as both a dangerous totalitarian and an escapist intellectual. And visions of Plato have proliferated at the heart of (...) postmodern critiques of the very idea of metaphysics and politics. Plato's Progeny begins with an account of modern responses to the trial of Socrates and the controversial question of Socrates' relation to Plato. At its centre are two chapters exploring the idea of Platonic origins in and for philosophy, and of Platonic foundations for philosophical politics. Exploring unfamiliar as well as familiar invocations of Plato, Melissa Lane argues that twentieth-century ideological battles have obscured the importance of Socratic individualism, the nature of Platonic ethics, and the value of Platonic politics. Succinct and clearly written, this is an ideal guide for everyone interested in the way philosophers are still writing footnotes to Plato. (shrink)

Discover how mathematical sequences abound in our natural world in this definitive exploration of the geography of the cosmos You need not be a philosopher or a botanist, and certainly not a mathematician, to enjoy the bounty of the world around us. But is there some sort of order, a pattern, to the things that we see in the sky, on the ground, at the beach? In A Beginner's Guide to Constructing the Universe, Michael Schneider, an education writer and (...) computer consultant, combines science, philosophy, art, and common sense to reaffirm what the ancients observed: that a consistent language of geometric design underpins every level of the universe, from atoms to galaxies, cucumbers to cathedrals. Schneider also discusses numerical and geometric symbolism through the ages, and concepts such as periodic renewal and resonance. This book is an education in the world and everything we can't see within it. Contains numerous b&w photos and illustrations. (shrink)

"This fine book is ideal for introductory courses in philosophy, and it is executed and backed up by careful, sophisticated philosophical analysis and insight." —_W. Norris Clarke, S.J., Fordham University_ _ _ _Human Knowing_ is a clearly written, brief introduction that guides the reader through an exploration of sense perception, ordinary knowing, scientific knowing, and philosophic knowing. This journey culminates in a justification of philosophy as a genuine form of knowing and thus a natural prelude to metaphysics. Though Felt (...) manages to avoid technical language, the development of his argument is a genuine exercise in philosophic thinking. The outcome is a contemporary expression of a position similar to that of Thomas Aquinas, significantly enriched by insights from Bergson, Whitehead, and phenomenology. (shrink)

Brand begins his book with a statement of the philosophical and cultural crisis of contemporary life, a crisis brought about by science. The idealizing methods and technology of contemporary science lead to a loss of self-understanding, and to a replacement of ordinary lived experience by scientific constructs; science in its turn has lost its human and philosophical meaning. An exploration of the life-world that provides the basis for science may help remedy this situation. Brand then explores the theme of (...) a concrete, lived world in Husserl, Heidegger, Sartre and Merleau-Ponty. In these sections he examines themes appropriate to each author: essence, intuition, evidence and intentionality in Husserl; hermeneutics, world, sensibility and authenticity in Heidegger; en soi, pour soi, and negativity in Sartre; the body, science, and dialectics in Merleau-Ponty. These are not just introductory analyses; in each case Brand comes to terms with major interpretations and critics, and is able to show the unity of philosophic inspiration behind each man. In the second section of the book he presents his own analysis of the life-world. He begins with a long study of the nature of philosophical reflection. This includes a treatment of the formal process of distinguishing and reuniting into wholes. He analyzes conceptualization, the experience of wonder, meaning and expression, metaphor, communication, sensibility and the body. Action, value, need, choice, scarcity, and motives are among the themes treated next, and also social dimensions like the family, authority, conflict and friends. Finally he examines private dimensions like personal mythos, one's personal career, sex, eros and love, and the inner life. Throughout these pages Brand uses not only the four philosophers analyzed in Part One, but also such figures as Gadamer, Derrida, Habermas, Wittgenstein, and many others. His writing is a guide not only to philosophical problems, but also to vast areas of current literature; long quotations abound. The original problem of the life-world comes from Husserl, but Brand is especially aware of the dimension of action, choice and work, so his interpretation of the life-world is able to illuminate aspects that Husserl touched only lightly. Brand's independent mind is able to cut across philosophical schools and uncover common elements in them, such as his excellent comparison of Wittgenstein and phenomenology on the irreducible character of insight as the beginning of philosophy. He considers the life-world as not the final ground of experience; rather the process of distinguishing is more basic, and is the final term beyond which we cannot move. Brand claims Husserl does not go beyond the life-world to this, and that only the late Merleau-Ponty and Wittgenstein appreciate it; but are not Husserl's doctrines of parts and wholes and empty and filled intentions a treatment of the process of distinguishing and identifying? And don't these themes take Husserl beyond the life-world? The wide range and multitudinous sources of this book make exhaustive treatment of each area impossible, and on some points Brand merely gives sketches of what might be done. Other themes are very thoroughly analyzed, and all sections are interesting and provocative. This book should be not only an important contribution to phenomenology, but also one of the most helpful volumes in the philosophical discussions of the years to come.--R. S. (shrink)

Intelligent neurotechnology is an emerging field that combines neurotechnologies like brain-computer interface (BCI) with artificial intelligence. This paper introduces a capability framework to assess the responsible use of intelligent BCI systems and provide practical ethical guidance. It proposes two tests, the threshold and flourishing tests, that BCI applications must meet, and illustrates them in a series of cases. After a brief introduction (Section 1), Section 2 sets forth the capability view and the two tests. It illustrates the threshold test using (...) examples from clinical medicine of BCI applications that enable patients with profound disabilities to function at a threshold level through computer mediation. Section 3 illustrates the flourishing test by exploring possible future applications of BCI involving neuroenhancements for healthy people, using examples adapted from research currently underway in the US military. Section 3 applies a capability lens to a complex case involving dual effects, both therapeutic and non-therapeutic, showing how the threshold and flourishing tests resolve the case. Section 4 replies to three objections: neurorights are the best tool for assessing BCI; the two tests are moving targets; and the analysis utilizes a capability view to do work it is not designed for. The paper concludes that a capability view offers unique advantages and gives practical guidance for evaluating the responsible use of present and future BCI applications. Extrapolating from our analysis may help guide other emerging technologies, such as germline gene editing, expected to impact central human capabilities. (shrink)

Increased knowledge of the gene–disease associations contributing to common cancer development raises the prospect of population stratification by genotype and other risk factors. Individual risk assessments could be used to target interventions such as screening, treatment and health education. Genotyping neonates, infants or young children as part of a systematic programme would improve coverage and uptake, and facilitate a screening package that maximises potential benefits and minimises harms including overdiagnosis. This paper explores the potential justifications and risks of genotyping children (...) for genetic variants associated with common cancer development within a personalised screening programme. It identifies the ethical and legal principles that might guide population genotyping where the predictive value of the testing is modest and associated risks might arise in the future, and considers the standards required by population screening programme validity measures . These are distinguished from the normative principles underpinning predictive genetic testing of children for adult-onset diseases—namely, to make best-interests judgements and to preserve autonomy. While the case for population-based genotyping of neonates or young children has not yet been made, the justifications for this approach are likely to become increasingly compelling. A modified evaluative and normative framework should be developed, capturing elements from individualistic and population-based approaches. This should emphasise proper communication and genuine parental consent or informed choice, while recognising the challenges associated with making unsolicited approaches to an asymptomatic group. Such a framework would be strengthened by complementary empirical research. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:CONRAD'S REPLY TO KIERKEGAARD by Jerry S. Clegg Varied answers to a fixed question have often guided interpretations of Conrad's novella, Heart ofDarkness. Who, that question has been, was Conrad's model for the enigmatic colonial official he calls Kurtz? Hannah Arendt has speculated that it was Carl Peters, an early explorer of east Africa.1 Norman Sherry has picked Arthur Hodister, a Belgian officer, as his candidate.2 Ian Watt (...) has likewise suggested historical figures: Henry M. Stanley and King Leopold of Belgium.3 Since all these men had a reputation for cruelty, those thinking that Conrad had them in mind when describing Kurtz have stressed the political message of his story; for them it is basically an indictment of colonialism. Stephen Reid has argued for a mythic model. Kurtz, he holds, was meant to be seen as one of the man-gods of Frazer's Golden Bough—a primitive king who is obliged to maintain his political position by engaging in certain bestial rites.4 Kenneth Bruffee has recendy cast Kurtz as Conrad's version of Byron's Childe Harold, arguing that the eventualjudgment on him by the character Marlow represents the effort of a squire-narrator to free himself from the pernicious influence of his knight-hero.5 For Bruffee Heart of Darkness is the prototype of a genre oftwentieth-century literature thatrejects the values ofaristocratic romance in favor of democratic norms. There may be truth in all these associations of Kurtz with known colonizers, mythical kings, and fictional knights, but they share a pair of deficiencies. They do not clarify the argument of Heart ofDarkness and so do not dojustice to its copious philosophical content. They also 280 Jerrys. Clegg281 fail to note those features ofKurtz that identify his model most precisely. The prototype of Conrad's famous character is biblical. He is a modern version of Abraham, and the work most intimately related to Heart of Darkness is Kierkegaard's panegyric on Abraham: Fear and Trembling. Conrad's story is, in fact, an addendum to Fear and Trembling written from the point of view of a poet-narrator—Marlow—who has accepted some, but not all, of the tenets of Kierkegaard's own poet-narrator, Johannes de Silentio. It is Marlow's quarrel with de Silentio that explains the structure of Heart ofDarkness, that constitutes its deepest message, and that tells the reader who the model for Kurtz was. An appreciation of that quarrel also helps clarify other matters. It makes plain, for example, the symbolism of light and dark that Conrad uses as an accompaniment to his argument.6 Heart of Darkness is, unarguably, a meditation on several subjects. It is about the Belgian Congo under the administration of King Leopold. It is also about European colonialism in general. It may be about other matters as well. Its primary subject, however, is the relationship of the religious to the ethical and the aesthetic. Since for Conrad the ethical and the aesthetic were allied, this subject may be best cast as the relationship ofreligion to art. It is introduced at the very start ofthe novella. Conrad's primary narrator there offers a theme for his seafaring friend, Marlow, to meditate on aloud: the great English knights-errant of the sea who, like "jewels flashing in the night of time," have born the torch of civilization into the mystery of an unknown earth.7 As this theme is announced, what was a mournful gloom that had hung over London becomes a lurid glare under the stars, and Marlow begins to talk of these, and still other, kinds of light and their relationship to the dark. The primary narrator has already identified what the dark stands for: time. Marlow does not challenge that equation. He only asks who, and with the aid of what kind of light, effectively combats "the night of time." During his meditation he considers four answers to his question, three of which are of primary importance. Certain "redeeming facts," illustrated by the restraint shown by hungry cannibals, quietly dazzle with reassurance, and so what mightbe called the person ofethical conduct— when stripped bare of pretense and the opaque "cloak of time... (shrink)

This theoretical paper proposes a new perspective to understand the moral distress of nurses more fully, using virtue ethics. Moral distress is a widely studied subject, especially with respect to the determination of its causes and manifestations. Increasing the theoretical depth of previous work using ethical theory, however, can create new possibilities for moral distress to be explored and analyzed. Drawing on more recent work in this field, we explicate the conceptual framework of the process of moral distress in nurses, (...) proposed by Ramos et al., using MacIntyrean virtue ethics. Our analysis considers the experience of moral distress in the context of a practice, enabling the adaptation of this framework using virtue ethics. The adoption of virtue ethics as an ethical perspective broadens the understanding of the complexity of nurses’ experiences of moral distress, since it is impossible to create a ready model that can cover all possibilities. Specifically, we describe how identity, social context, beliefs, and tradition shape moral discomfort, uncertainty, and sensitivity and how virtues inform moral judgments. Individuals, such as nurses, who are involved in a practice have a narrative history and a purpose ( telos) that guide them in every step of the process, especially in moral judgment. It is worth emphasizing that the process described is supported by the formation of moral competence that, if blocked, can lead to moral distress and deprofessionalization. It is expected that nurses seek to achieve the internal good of their practice, which legitimizes their professional practice and supports them in moral decision-making, preventing moral distress. (shrink)

This timely book examines the interaction of health research and regulation with law through empirical analysis and the application of key anthropological concepts to reveal the inner workings of human health research. Through ground-breaking empirical inquiry, Regulatory Stewardship of Health Research explores how research ethics committees (RECs) work in practice to both protect research participants and promote ethical research.This thought-provoking book provides new perspectives on the regulation of health research by demonstrating how RECs and other regulatory actors seek to fulfil (...) these two functions by performing a role of 'regulatory stewardship'. This involves guiding researchers through stages of research approval, as well as seeking to maximise benefits for participants and society while minimising risks. Arguing that participant protection and research promotion should rightly be treated as twin objectives for health research regulators, this book asserts that there is a need for more overt recognition of the importance and function of the deliberative space in which RECs can negotiate the risks relevant to a research application.This book is a key resource for academics and students interested in health research and regulation, and the dynamic interaction of ethics and the law. Regulators and policy-makers will also find it to be an insightful and illuminating text for the practical insights that it reveals about research governance in action. (shrink)

There is general acknowledgement that both the anterior cingulate and orbitofrontal cortex are implicated in reinforcement-guided decision making, and emotion and social behaviour. Despite the interest that these areas generate in both the cognitive neuroscience laboratory and the psychiatric clinic, ideas about the distinctive contributions made by each have only recently begun to emerge. This reflects an increasing understanding of the component processes that underlie reinforcement- guided decision making, such as the representation of reinforcement expectations, the exploration, (...) updating and representation of action values, and the appreciation that choices are guided not just by the prospect of reward but also by the costs that action entails. Evidence is emerging to suggest that the anterior cingulate and orbitofrontal cortex make distinct contributions to each of these aspects of decision making. (shrink)

Abstract This paper explores gender and mental health with particular reference to the emerging philosophical field of critical realism. This philosophy suggests a shared ontology and epistemology for the natural and social sciences. Until recently, most of the debate surrounding gender and mental health has been guided either implicitly or explicitly within a positivist or constructivist philosophy. With this in mind, key areas of critical realism are explored in relation to gender and mental health, and contrasted with the positions (...) of positivism and constructivism. It is argued that critical realism offers an alternative philosophical framework for the exploration of gender issues within mental health care. (shrink)

In the form of a tongue-in-cheek how-to guide, Carole S. Vance discusses the complex role of the state and the media with regard to human trafficking. Calling attention to the portrayal of human trafficking as an overwhelmingly female issue, Vance explores the ubiquitous connection between prostitution and human trafficking, and weighs the impact of this portrayal on men and women who are trafficked into other, less problematized sectors of labor. Vance also contemplates the handling of human trafficking cases in criminal (...) courts when, she argues, the issue is a matter of human rights, not solely criminal justice. (shrink)

When patients are not able to speak for themselves, surrogate decision makers are asked to guide treatment decisions and formulate a plan of care in accordance with what the patients would have wanted. This necessitates an exploration into the patients’ views about life and how it should be lived, how the patients constructed their identity or life story, and their attitudes towards sickness and suffering. When an individual appoints a surrogate, such as a healthcare power of attorney, a common (...) presumption is that this designation evinces merit. This obscures the possibility of multiple other considerations that influence individual choice. This article presents a clinical case in which the claim to know someone best created a controversy that brought treatment decisions to a standstill. Further, it illuminates how the question, “Given the current medical condition, what would this person want?” risks presuming that a singular, unambiguous preference exists and that one person can provide the answer. Clinical ethicists can play a vital role in situations when there is a dispute among a designated surrogate and family members over a patient’s preference. By embracing the complexity of the desire to synthesize seemingly irreconcilable perspectives about identity, uncovering the reasons that underlie disagreement, and guiding inquiry in such a way that allows stakeholders to move beyond the conflict, clinical ethicists can facilitate decision making that honors the patient and may mitigate moral distress. (shrink)

There is paucity in the published literature that provides any ethical guidance guiding gift-giving within the student–patient relationship. This is perhaps because the dynamics of the medical student–patient relationship have not yet been explored as extensively as the doctor–patient relationship. More importantly, however, gift-giving in the doctor–patient relationship has traditionally been from the patient to the doctor and not vice versa. This article examines the literature published in this vicinity reflecting on an encounter with a patient.

Differences in socioeconomic status (SES) correlate both with differences in cognitive development and in brain structure. Associations between SES and brain measures such as cortical surface area and cortical thickness mediate differences in cognitive skills such as executive function and language. However, causal accounts that link SES, brain, and behavior are challenging because SES is a multidimensional construct: correlated environmental factors, such as family income and parental education, are only distal markers for proximal causal pathways. Moreover, the causal accounts themselves (...) must span multiple levels of description, employ a developmental perspective, and integrate genetic effects on individual differences. Nevertheless, causal accounts have the potential to inform policy and guide interventions to reduce gaps in developmental outcomes. In this article, we review the range of empirical data to be integrated in causal accounts of developmental effects on the brain and cognition associated with variation in SES. We take the specific example of language development and evaluate the potential of a multiscale computational model of development, based on an artificial neural network, to support the construction of causal accounts. We show how, with bridging assumptions that link properties of network structure to magnetic resonance imaging (MRI) measures of brain structure, different sets of empirical data on SES effects can be connected. We use the model to contrast two possible causal pathways for environmental influences that are associated with SES: differences in prenatal brain development and differences in postnatal cognitive stimulation. We then use the model to explore the implications of each pathway for the potential to intervene to reduce gaps in developmental outcomes. The model points to the cumulative effects of social disadvantage on multiple pathways as the source of the poorest response to interventions. Overall, we highlight the importance of implemented models to test competing accounts of environmental influences on individual differences. (shrink)

The Church, as an institution, has pioneered ground-breaking interventions, although some of these interventions were also a vehicle for imperial colonisation. Through its missionary activities, the Church has exercised such a form of power over its flock. This article intends to analyse the extent of the knowledge that pastors in Thulamela Municipality, Limpopo Province, have concerning HIV/AIDS and the prejudices associated with the illness. The article applies a qualitative approach in ascertaining the extent of such knowledge as well as the (...) pastoral approaches utilised. In this qualitative phenomenological study, the authors explored the knowledge of these pastors regarding HIV/AIDS. A semi-structured interview guide was used to direct the collection of data. Following thematic analysis, the knowledge of pastors regarding HIV/AIDS emerged as the theme of the study. The findings revealed that difficulties relating to providing pastoral care to people living with HIV/AIDS (PLWH) were exacerbated by a lack of knowledge and limited training offered to pastors. The article will further argue that there is a need for a partnership between the churches and public health services.Contribution: This article strives to expose biblical discourse exhibited by pastors because of a lack of theological formation and to suggest a way forward in collaborating the church as a religious institution and public health institution for combating HIV/AIDS. (shrink)

IntroductionFrontline healthcare workers have faced significant plight during the ongoing Coronavirus disease 2019 pandemic. Studies have shown their vulnerabilities to depression, anxiety disorders, post-traumatic stress, and insomnia. In a developing country like India, with a rising caseload, resource limitations, and stigma, the adversities faced by the physicians are more significant. We attempted to hear their “voices” to understand their adversities and conceptualize their resilience framework.MethodsA qualitative approach was used with a constructivist paradigm. After an initial pilot, a socio-demographically heterogeneous population (...) of 172 physicians working in COVID-designated centers were purposively sampled from all over India. Following in-depth virtual interviews using a pre-formed semi-structured guide, the data was transcribed and translated verbatim. The interview was focused on their challenges, needs, and processes of coping and support. Charmaz’s grounded theory was used for analysis supplemented by NVivo 10 software.ResultsFear of infection, uncertainty, stigma, guilt, and social isolation emerged as the main challenges. Simultaneously, their “unmet needs” were flexible work policies, administrative measures for better medical protection, the sensitivity of media toward the image of HCW, effective risk communication for their health, and finally, social inclusion. Their resilience “framework” emerged as a process while navigating these adversities and consisted of three facets: forming a “resilient identity,” managing the resilience, and working through the socio-occupational distress. The role of mental well-being, social network, peer support, problem negotiation, and self-care emerged as the key coping strategies.ConclusionThe study findings support the global call for better psychosocial health and quality of life of the frontline HCWs. Their “unheard voices” explored in the study can anchor subsequent resilience-enhancing interventions and policies. Guidelines focusing on the psychological wellbeing of frontline HCWs need to be grounded in their unmet needs and lived experiences. (shrink)

“This important collection of essays will help all Americans to consider anew the relationship between the ‘spirit of liberty’ and the ‘spirit of religion’ at work in the American Founding. Michael Zuckert’s masterful response establishes him as one of the leading scholars of the period.” —Jean Yarbrough, author of _American Virtues: Thomas Jefferson on the Character of a Free People_ "_Protestantism and the American Founding_ is an extraordinarily rich and thought provoking dialogue on the religious dimension of the nation's foundations." (...) —Thomas L. Pangle, University of Texas at Austin “This collection of essays by some of the most eminent scholars in the field will have a wide-ranging influence on both academic and political debate on the vital interaction of religion and politics in historical and contemporary America.” —Garrett Ward Sheldon, University of Virginia’s College at Wise This welcome new textbook explores the relationship between Protestant theology and American political thought of the founding era. It gathers together both new and well-known essays by scholars and outstanding thinkers in political philosophy and is enriched by classic selections from Alexis de Tocqueville's _Democracy in America_. _Protestantism and the American Founding_ will serve as a valuable classroom guide for discussion and debate about issues in American and modern political philosophy. (shrink)

The common notion of artifacts characterizes them as the products of successful activities of their makers, guided by intentions that such objects would instantiate certain features, such as their specific functions. Many counterexamples, however, reveal the unsuitability of the common notion. In the face of this acknowledgment, the paper explores the possibility that features of artifacts, and more specifically, the possession of their functions, may arise, at least partially, from collective assignments. In order to achieve the mentioned goal, the (...) paper critically examines some notions and theses put forward by John Searle and others. Its main result, however, consists in offering and elucidating an original thesis, namely, that the functions of many artifacts would be maintained, partially, by forms of continuous collective intentionality, which can involve conscious or unconscious, active or inactive collective intentional states. Keywords: Artifacts, assignment of function, collective intentionality, maintenance of function. (shrink)

In this article, I describe the need for tomorrow's scientists to be tutored in a personal ethic that values ethical responsiveness as the core, organizing principle for guiding research, teaching, application, and career direction. To address this need, I describe a teaching approach that instills science students with an understanding that moral reflection and action are the core tenets of scientific thinking and practice. The approach empowers students to reflect openly and discuss ongoing, ethical concerns as they face them in (...) their research and scholarship. Out of this, students naturally see the urgency to explore ethical issues and thinking from multiple perspectives, to develop and refine their ethical thinking, and to make moral choices in their routine scientific activities. (shrink)

In the article, the authors attempt to analyze the various origins of libertarian paternalism - political, social, cultural, and try to explore the essence of this social and social phenomenon. Libertarian paternalism has both positive and negative features, which are actualized, in turn, by modern planetary challenges.The aim and the tasks: analysis of the essence of the social phenomenon of libertarian paternalism, and the study of its origins - political, social, cultural. Research methods are historical, structural and functional, systemic and (...) equitable.For the revision of specific projects, it is also the principle of consistency, objectivity, convergence from the abstract to the concrete. Research results: Democracy and human rights have found themselves in the grip of challenges, to which both the government and the private sector of the economy in particular react in a peculiar way. In the civilized world, the problem of social protection is acute; an ordinary person dramatically perceives the massive pressure of advertising, the media, certain structures that are interested, first of all, in the early sale of their products - material, spiritual and social. Libertarian paternalism is seen by the authors as a possible way to reconcile these issues, especially from the point of view of protecting the human rights and freedoms. Discussion. In this regard, other authors note that in the practical implementation of Nudge technology, people rarely follow the ideal interpretation of private well-being in terms of full satisfaction of needs. Opponents suggest in this regard that people can be guided by temporary benefits in terms of irrational consumer behavior, that is, the socio-psychological bases of consumerism are affected. Conclusion. Libertarian paternalism was created as a reaction to political, economic and sociocultural changes in society under the impact of globalization, informatization and revision of social programs in the governments.The concept of libertarian paternalism and its practical implementation of nudge technology is relevant and promising in the context of a constant increase in the level of welfare of citizens. Libertarian paternalism affects the most subtle sociophilosophical, socio-psychological elements of the consciousness of an individual who has become hostage to government programs and private projects. The price of a rational choice of an individual is his own freedom, in the context of modern realities of social life. (shrink)

Inequities in access to oncology care among Indigenous peoples in Canada are well documented. Access to oncology care is mediated by a range of factors; however, emerging evidence suggests that healthcare providers, including nurses, play a significant role in shaping healthcare access. The purpose of this study was to critically examine access to oncology care among Indigenous peoples in Canada from the perspective of oncology nurses. Guided by postcolonial theoretical perspectives, interpretive descriptive and critical discourse analysis methodologies informed study (...) design and data analysis. Oncology nurses were recruited from across Canada to complete an online survey (n = 78). Nurses identified a range of barriers experienced by Indigenous peoples when accessing oncology care, yet located these barriers primarily at the individual and systems levels. Nurses perceived themselves as mediators of access to oncology care; however, their efforts to facilitate access to care were constrained by the dominance of biomedicine within healthcare. Nurses' constructions of access to oncology care highlight the embedded narrative of individualism within nursing practice and the relative invisibility of racism as a determinant of equitable access to care among Indigenous peoples. This suggests a need for oncology nurses to better understand and incorporate structural determinants of health perspectives. (shrink)

This book examines the underlying theoretical issues concerning the nature of political freedom. Arguing that most previous discussions of such freedom have been too narrowly focused, it explores both conservativism from Edmund Burke to its present resurgence, the radical tradition of Karl Marx, as well as the orthodox liberal model of freedom of John Locke, John Stuart Mill and Isaiah Berlin. Political Freedom argues that these three accounts of political freedom - conservative, liberal and radical - all have internal weaknesses (...) which render them unsatisfactory. In the second part of the book George Brenkert develops an alternative theory of political freedom. Using the guiding concept of empowerment, his model explores individual rights, democratic participation in government and workplace, and the need to provide the material and educational resources to allow individuals to effectively exercise their rights to self-determination. It is a clear and bold attack on the view that there is no link between freedom and power. (shrink)

Few sectors are more ethically contentious than dairy, with debates tending to be polarised between “intensification” and “abolitionist” narratives which often drown out alternative voices operating in-between. This paper examines the marginal spaces occupied by a group of farmers in the United Kingdom who are attempting to move towards what they see as “more ethical” dairying. Drawing on findings from ethnographic research on five farms which have adopted “cow-calf contact rearing”—which focuses on keeping calves with their mothers longer, in opposition (...) to conventional practices of removing them shortly after birth—it asks what values underpin this alternative approach, and how and why “ethical” dairies seek to dairy ethically. To do this, it draws on a feminist epistemology and methodology that sees ethics as situated and contextual, and finds an “ethics of care” to be central to changing entanglements between humans and nonhuman animals. Instead of casting dairy as either “good” or “bad”, it explores the activities of farms which are trying to move towards what they perceive to be “better”, and draws three conclusions: (a) “ethical” dairying demonstrates a heterogeneity of dairy practices which are grounded in “care” and are happening between narrative extremes of intensification versus abolition; (b) although this practice may be, and could be, commodified, farmers are primarily guided by strong ideological principles and influenced by affective and empathetic “entanglements” with cows and calves, the agency of bovines themselves, and their social and ecological environment; and (c) “cow-calf contact rearing” represents a significant shift from a focus on the broader welfare environment towards centring the quality of individual cows’ lives. Ultimately, the paper argues that we should pay greater attention to alternative economies built on an “ethics of care” when envisaging new sustainable food and agricultural systems. (shrink)

The race among global firms to launch its respective products and services into the market sooner than the competitors puts pressure to equip its employees with job-related skills at the pace of business. Today’s global and dynamic business requires employees to develop highly complex cognitive skills such as decision-making, problem-solving, troubleshooting to perform their jobs proficiently. Traditional training models used by some organizations lead to a very slow speed at which employees gain an acceptable level of proficiency in the targeted (...) job skills. Also, these models have long and regimented instructional development cycle. Thus, traditional models are inherently counter-productive to the business and do not enable employees and organizations for today’s business needs. Therefore, business organizations need to explore new training models and strategies that could reduce the time an employee takes to reach target proficiency in complex skills without compromising the effectiveness or outcome. A comprehensive review of the literature shows a very limited amount of academic or practitioner research on this topic. This doctorate research study aims to find various training strategies that have proven successful in organizations for accelerating proficiency of employees in complex job skills. The researcher collected data primarily through 74 in-depth interviews with 86 training experts with known work experience of reducing time-to-proficiency in various settings. A total of 105 project cases have been collected across 42 industries to date. A grounded theory approach with constant comparison method is used to guide the theoretical saturation, analyze the data and to develop a theoretical model of training strategies. This unique study revealed a range of training strategies from non-training solutions to classroom instructions to workplace training to accelerate proficiency of employees in acquiring complex skills. This paper will specifically report the preliminary findings and conceptual model of major classroom-based instructional strategies only that has been found to hold the potential to shorten time-to-proficiency of employees at the workplace. This paper will also discuss the implications of the findings for the practitioners. Results in this study confirmed that classroom-based instructional strategies need to be designed and delivered the way the work is being performed in reality by the learners. Research findings suggest a pattern of five classroom-based instructional strategies that are more successful in reducing time-to-proficiency - 1) Contextualized learning 2) Performance analysis of star performer 3) Active processing and emotional involvement 4) Access to self-guided learning resources 5) Social interconnectivity and informal learning. (shrink)

European identity is a complex, multi-faced and inherently imprecise concept relating to a range of socio-political and psychological factors. Addressing this topic in educational practice, particularly with respect to Higher Education students, constitutes a complex and open problem for research. This paper reports on an experimental study designed to explore the effectiveness of the educational game “RUEU?” in supporting university students in understanding the key socio-political issues regarding European identity. Quantitative data regarding Greek university students’ attitudes to European identity, before (...) and after playing the game, were collected. Students’ performance of the game group was compared with that of a control group who explored the same issues about European identity through a tutor-guided discussion. The findings showed that both instructional interventions were effective but in different ways. The participants in the game-based group appeared more attached to the EU after the intervention and moved toward a more balanced description of their Greek and European identity. On the other hand, the students in the control group rated higher what “European identity” and being EU citizen means to them. The findings indicated the potential of game-based interventions to deliver not only academic content but also to promote students’ reflection and influence them at an attitudinal and emotional level. (shrink)

Robert F. Berkhofer, Jr. provides a basic, broad, and dynamic introduction to a new manner of reading history in light of current theoretical innovations and multiculturalist theories. In order to prepare the reader for this novel historicality, the author guides the reader through an enormous terrain of texts in modernism, poststructuralism, deconstruction, feminism, poetics, and multiculturalism. Just from this standpoint, one may regard Berkhofer's work as a major contribution to the history of contemporary thought. His text, however, exceeds writing another (...) history of ideas precisely by his attempts to transform the way historians regard their texts. Although not specifically delineated, the book consists of two parts: The first half explores some of the implications of postmodernism for the writing, reading, and teaching of history. It shows how historians are able to learn from current deconstructive strategies without being bound to this kind of textualizing. The second half discloses various ways of "applying" a positive understanding of postmodernism to the urgent operation of reading concrete historical texts. (shrink)

This path-breaking volume will have a transformative impact on the field of early Chinese intellectual history and will be of great interest to scholars and students alike.

The COVID-19 pandemic put a large burden on many healthcare systems, causing fears about resource scarcity and triage. Several COVID-19 guidelines included age as an explicit factor and practices of both triage and ‘anticipatory triage’ likely limited access to hospital care for elderly patients, especially those in care homes. To ensure the legitimacy of triage guidelines, which affect the public, it is important to engage the public’s moral intuitions. Our study aimed to explore general public views in the UK on (...) the role of age, and related factors like frailty and quality of life, in triage during the COVID-19 pandemic. We held online deliberative workshops with members of the general public. Participants were guided through a deliberative process to maximise eliciting informed and considered preferences. Participants generally accepted the need for triage but strongly rejected ‘fair innings’ and ‘life projects’ principles as justifications for age-based allocation. They were also wary of the ‘maximise life-years’ principle, preferring to maximise the number of lives rather than life years saved. Although they did not arrive at a unified recommendation of one principle, a concern for three core principles and values eventually emerged: equality, efficiency and vulnerability. While these remain difficult to fully respect at once, they captured a considered, multifaceted consensus: utilitarian considerations of efficiency should be tempered with a concern for equality and vulnerability. This ‘triad’ of ethical principles may be a useful structure to guide ethical deliberation as societies negotiate the conflicting ethical demands of triage. (shrink)

Burnyeat calls this book a “map” because, he explains, he intends to set up signposts for readers of one of the most difficult texts in philosophy to use in their own explorations. The “map” consists of an Introduction that explains the assumptions behind his “map,” most importantly that this text consistently operates on “two levels,” the “logical” and the “metaphysical”; an analytic guide to the map ; and the heart of the map, “signposts” from which the reader can survey and (...) then move through the text. Three chapters that are not formally part of the map conclude this study. Chapter 4 asks “Why do it this way?” and suggests that “Metaphysics Zeta is not only the most difficult work in the corpus. It is also methodologically unique. And that does need explaining”. Two final chapters return to the “logical level” and to the “metaphysical level,” asserted at the outset, explaining what they mean and why they provide a fruitful way of reading Metaphysics Zeta. Chapter 5 considers “The Organon as ‘logical’” and how Aristotle’s logic is reflected in this text ; chapter 6 places Metaphysics Zeta within the larger context of Aristotle’s Metaphysics and in so doing provides a vision of the work as a whole. The book is completed by several indices: Index to issues of text and translation ; Index locorum ; Index of names ; Index of Greek terms discussed ; and a General index. (shrink)

Background: A fair distribution of healthcare services for older patients is an important challenge, but qualitative research exploring clinicians’ consideration in daily clinical prioritisation in healthcare services for the aged is scarce.Objectives: To explore what kind of criteria, values, and other relevant considerations are important in clinical prioritisations in healthcare services for older patients.Design: A semi-structured interview-guide was used to interview 45 clinicians working with older patients. The interviews were analysed qualitatively using hermeneutical content analysis and template organising style.Participants: 20 (...) physicians and 25 nurses working in public hospitals and nursing homes in different parts of Norway.Results and interpretations: Important dilemmas relate to under-provision of community care and comprehensive approaches, and over-utilisation of certain specialised services. Overt ageism is generally not reported, but the healthcare services for the aged seem to be inadequate due to more subtle processes, for example, dominating considerations and ideals and operating conditions that do not pay sufficient attention to older patients’ needs and considerations of justice. Clinical prioritisations are described as being dominated by adapting traditional biomedical approaches to the operating conditions. Many of the clinicians indicate that there is a potential for improving end of life decisions and for reducing exaggerated use of life-prolonging treatment and hospitalisations.Conclusion: The interviews in this study indicate that considerations of justice and patients’ perspectives should be given more attention to strike a balance between specialised medical approaches and more general and comprehensive approaches in healthcare services for older patients. (shrink)

Background: Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians’ considerations in clinical prioritisation within this field is scarce. Objectives: To explore how clinicians understand their professional role in clinical prioritisations in healthcare services for old patients. Design: A semi-structured interview-guide was employed to interview 45 clinicians working with older patients. The interviews were analysed qualitatively using hermeneutical content analysis. Participants: 20 physicians and 25 nurses working in public hospitals and nursing homes (...) in different parts of Norway. Results and interpretations: The clinicians struggle with not being able to attend to the comprehensive needs of older patients, and being unfaithful to professional ideals and expectations. There is a tendency towards lowering the standards and narrowing the role of the clinician. This is done in order to secure the vital needs of the patient, but is at the expense of good practice and holistic role modelling. Increased specialisation, advances and increase in medical interventions, economical incentives, organisational structures, and biomedical paradigms, may all contribute to a narrowing of the clinicians’ role. Conclusion: Distributing healthcare services in a fair way is generally not described as integral to the clinicians’ role in clinical prioritisations. If considerations of justice are not included in clinicians’ role, it is likely that others will shape major parts of their roles and responsibilities in clinical prioritisations. Fair distribution of healthcare services for older patients is possible only if clinicians accept responsibility in these questions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Thomas Merton’s Bangkok Lecture of December 1968Archbishop Rembert G. Weakland, OSBPreparations for the Meeting and its PurposeAfter being elected abbot primate of the Benedictine Confederation in September 1967, I was encouraged by discovering that the Benedictines and the two branches of the Cistercians (those of the Common Observance and those of the Strict Observance, or Trappists) worked together on missionary issues through an office in Paris called Aide à (...) l’Implantation Monastique (AIM).1 After World War II many new monastic foundations were made in the developing countries of Africa, Asia, and South America, commonly referred to as the Third World. These fledgling monasteries needed special care that frequently could not be provided by their founding monasteries in Europe or the United States. AIM sought to fill that gap. There existed an unwritten agreement among the three superiors of the two branches of the Cistercians and the abbot primate that the historical differences in the West among those following the Rule of Saint Benedict would not be emphasized in the new areas of expansion.One of the purposes for establishing AIM was to plan and organize meetings of monks and nuns in those vast areas of the world.2 Thus, AIM and its staff acted as the prime instrument for pulling together all the threads that went into the meeting in Bangkok in December 1968. They ultimately were responsible for selecting inculturation as the main theme to be treated.At that time, I noticed that this theme was frequently being discussed among us Superiors General in Rome, especially among those religious congregations with newer foundations in the developing countries of Asia, Africa, and South America.3 Many came to realize that this theme was important, not only for newer houses, but also for older ones in the Third World, as they too were rethinking how they engaged the cultures in which they had been implanted. We superiors devoted many meetings to this theme, bringing in experts in theology and anthropology to reflect with us on current thinking and to animate our discussions. Because of the positive treatment at Vatican Council II of the other great religions of the world, this theme was “in the air” at that time. In the Far East the question of inculturation for Catholic missionaries was not a new one in itself, as Christians had been posing it since the time of the first missionary efforts in China and Japan centuries before. For monks, however, it was being asked for the first time and with some urgency. Monasticism [End Page 91] posed questions of adaptation and accommodation in cultures already possessing deeply rooted manifestations of a similar way of life that went under the same label. Thus, since there was already a concept of monasticism and the existence of monks in Asian cultures, the Bangkok meeting was an occasion for reexamining the question of inculturation.At that same time there was a heightened sensitivity to any sign of a residual colonialism in many parts of the Third World. When Western groups made no attempt at inculturation, it was interpreted as old European cultural colonialism, or, as some were beginning to say, new American economic imperialism.When some Benedictine and Cistercian superiors in Asia suggested inculturation as the theme for this meeting, they added the suggestion that superiors of the founding monasteries in Europe and the United States should attend the meeting and interact with the superiors of the local houses. These superiors felt it was important for the founding superiors to gain a better understanding of the issues involved in cultural adaptation and that they be willing to give to the local superiors a broader berth for future developments. For this to occur, the presence of experts at the meeting was also imperative. It was then that Merton’s name was suggested. It was rightly felt that he was well informed about both Eastern and Western forms of monasticism and would be a font of insights and a ready guide for the discussions. In addition, his views—everyone agreed—would be well accepted by the Western superiors. Since the two languages of the meeting were to be French and English, Merton could also... (shrink)

Survival after solid-organ transplantation has improved significantly, and many contemporary transplant recipients are of childbearing potential. There are limited data to guide decision-making surrounding pregnancy after transplantation, variations in clinical practice, and significant knowledge gaps, all of which raise significant ethical issues. Post-transplant pregnancy is associated with an increased risk of maternal and fetal complications. Shared decision-making is a central aspect of patient counselling but is complicated by significant knowledge gaps. Stakeholder interests can be in conflict; exploring these tensions can (...) help patients to evaluate their options and inform their deliberations. We argue that uniform, evidence-based recommendations for pregnancy after solid organ transplantation are needed. Conducting research, including patient-engaged studies, in this area should be priority for the transplant community. (shrink)

Humanitarian health care practitioners working outside familiar settings, and without familiar supports, encounter ethical challenges both familiar and distinct. The ethical guidance they rely upon ought to reflect this. Using data from empirical studies, we explore the strengths and weaknesses of two ethical models that could serve as resources for understanding ethical challenges in humanitarian health care: clinical ethics and public health ethics. The qualitative interviews demonstrate the degree to which traditional teaching and values of clinical health ethics seem insufficient (...) for addressing all the realities of health care practice during humanitarian missions. They equally suggest that greater good orientations of public health ethics can thwart the best intentions of health care professionals wanting to attend to the interests of individual patients. Even though neither is complete on its own for helping guide health professionals on field missions, taken together these models have much to offer. At the same time, the narratives of the humanitarian health care workers illustrate how some of the crucial differences between public health ethics and clinical ethics generate tensions in humanitarian health practice. We offer an analysis of some of the complexities this creates for humanitarian health care ethics, and consider ways of adjudicating between the two models. (shrink)

Mipam (‘ju mi pham rgya mtsho, 1846–1912), an architect of the Nyingma (rnying ma) tradition of Tibet in the late nineteenth and early twentieth centuries, articulates two distinct models of the two truths that are respectively reflected in Madhyamaka and Yogācāra Buddhist traditions. The way he positions these two models sheds light on how levels of description are at play in his integration of these traditions. Mipam positions one kind of two-truth model as the product of an ontological analysis while (...) another model can be seen as resulting from a phenomenological reduction. He accommodates both models into his systematic interpretation, and for him, each one has an important role to play in coming to understand the nature of the Buddhist truths of emptiness and Buddha-nature. Since each model reflects a different style of analysis, or a different perspective on truth, his presentation reveals how neither model alone has the last word on the nature of what is and how it is experienced. This paper analyzes the means by which he lays out these two models of the two truths, and explores the implications of their integration in his philosophical works. A primary concern for Mipam, and a factor that guides his attempt to integrate these two approaches to truth, is his aim to both induce authentic experience and true knowledge on the one hand, and represent reality and the experience of it on the other. These competing and complimentary objectives are a central focus around which both styles of critical reflection, and both models of the two truths, revolve. (shrink)

Ethical arguments about caregiver responsibility and the limits of client autonomy rely on best evidence about the risks and benefits of medical interventions. But when the evidence is unclear, or when the peer-reviewed literature presents conflicting accounts of the evidence, how are clinicians and their clients to recommend or decide the best course of action? Conflicting evidence about the outcomes of home and hospital birth in the peerreviewed literature offers an opportunity to explore this question. We present the contrary evidence (...) and describe the social and cultural elements that influence the production of the science of birth, including professional, publication, and critical bias. We then consider how the science of birth has been used an misused in making ethical arguments about preferred place of birth. We conclude with a number of recommendations about the responsible use of the evidence, arguing for an “ethics of information” that can be drawn on to guide caregivers and clients in the use of evidence for clinical decision making. (shrink)

Philosophy and space travel are characterized by the same fundamental purpose: exploration. An essential guide for both philosophers and Trekkers, Star Trek and Philosophy combines a philosophical spirit of inquiry with the beloved television and film series to consider questions not only about the scientific prospects of interstellar travel but also the inward journey to examine the human condition. The expansive topics range from the possibilities for communication among different cultural backgrounds to questions about the stoic temperament exhibited by (...) Vulcans to Ferengi business practices. Specifically chosen to break new ground in exploring the philosophical dimensions of Star Trek, these articles boldly go where no philosopher has gone before. (shrink)

Background eHealth was widely used during the COVID-19 pandemic. Much attention was given to the technical aspects of eHealth, such as infrastructure and cost, while the soft skill of compassion remained underexplored. The wide belief in compassionate care is more compatible with in-person interactions but difficult to deliver via e-platforms where personal and environmental clues were lacking urges studying this topic. Purpose to explore the experience of delivering compassionate care via an eHealth platform among healthcare professionals working to contain the (...) COVID-19 pandemic. Methods A qualitative study design with an interpretative phenomenological analysis approach was used. Twenty healthcare professionals (fifteen nurses and five physicians) who provided care using technology platforms, such as telephone hotlines, mobile apps, and social media, were interviewed individually. Ethical considerations Permission to conduct the study was obtained from the Institutional Review Board. Results Participants stated that “eHealth enabled compassionate care during the pandemic” by ensuring patient care availability and accessibility. They shared experiences of “communicating compassionate care via eHealth” with suggestions of addressing patients’ needs with empathy, adopting a structured protocol to guide eHealth communication, and using more advanced visual-media methods to promote human-to-human interaction. They recommended “setting realistic mutual expectations” considering the limitations of eHealth in handling complex health situations and staffing shortages. Participants considered “low eHealth literacy hinders compassion.” Additionally, they recommended the need for “institutional/system-level support to foster compassionate care.” Conclusion Participants recognized the importance of integrating compassion into eHealth services. Promotion of compassionate care requires standardization of eHealth services with institutional and system-level support. This also includes preparing adequate staffing who can communicate compassionate care via eHealth, set realistic expectation, and adjust communication to eHealth literacy level while meeting the needs of their patients. (shrink)